[Acute nonmyeloid leukemia in adults. Study of membrane antigens and terminal transferase. Diagnostic and prognostic value]

Presse Med. 1985 Jan 26;14(3):137-41.
[Article in French]

Abstract

Between January, 1982 and April, 1983, 92 adult patients with acute leukaemia were investigated in our department. According to classical criteria (cytology and optical cytochemistry), 34 were classified as "non-myeloid". These were further tested with a panel of monoclonal antibodies against cell membrane, including ALB1-2 (anti-CALLA), ALB6 (anti-p24), ALB7-8-9 (BA1), OKT and HLA DR; they were also tested for E rosettes, Slg and terminal transferase (TDT). When all these markers but HLA DR were negative, patients were investigated for ultrastructural peroxidases which were found to be present in 2 cases. Among all non-myeloid leukaemias, 18 (56%) were CALLA-positive and TDT-positive acute lymphoblastic leukaemias (ALL), 2 (6%) were ALL T, 7 (22%) were CALLA-negative and TDT-positive ALL and 5 (16%) were acute leukaemias null for our markers, a phenomenon the significance of which is discussed. Patients with the CALLA-negative TDT-positive phenotype were peculiar with regard to age (mean: 50 years), female predominance, L2 cytological pattern according to the FAB classification, good prognosis (complete remission in 100% of the cases) and median survival (p less than 0,03).

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antigens, Neoplasm / analysis*
  • Antigens, Surface / analysis*
  • Child
  • DNA Nucleotidylexotransferase / analysis*
  • DNA Nucleotidyltransferases / analysis*
  • Female
  • Humans
  • Leukemia, Lymphoid / classification
  • Leukemia, Lymphoid / enzymology
  • Leukemia, Lymphoid / immunology*
  • Male
  • Middle Aged
  • Neprilysin
  • Phenotype
  • Prognosis
  • Sex Factors

Substances

  • Antigens, Neoplasm
  • Antigens, Surface
  • DNA Nucleotidyltransferases
  • DNA Nucleotidylexotransferase
  • Neprilysin